Provider Demographics
NPI:1346216934
Name:ADVANCED THERAPEUTIC SERVICES AND TECHNOLOGIES
Entity Type:Organization
Organization Name:ADVANCED THERAPEUTIC SERVICES AND TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MURPHY
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MHS CCC/SLP
Authorized Official - Phone:630-545-2878
Mailing Address - Street 1:2277 WESTMINSTER ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-8726
Mailing Address - Country:US
Mailing Address - Phone:630-545-2878
Mailing Address - Fax:630-282-6544
Practice Address - Street 1:2277 WESTMINSTER
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8726
Practice Address - Country:US
Practice Address - Phone:630-545-2878
Practice Address - Fax:630-282-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006759235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty